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Treatment of strongyloidiasis in HTLV-1 and Strongyloides stercoralis coinfected patients is associated with increased tnfα and decreased soluble IL2 receptor levels

  • Fernanda Salles
  • , Andrea Bacellar
  • , Mirla Amorim
  • , Glória Orge
  • , Michael Sundberg
  • , Márcia Lima
  • , Silvane Santos
  • , Aurélia Porto
  • , Edgar Carvalho

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Human T cell lymphotropic virus type 1 (HTLV-1) infection has been associated with recurrent and disseminated strongyloidiasis and adult T cell leukemia/lymphoma (ATLL). Methods: We compared immunological aspects and markers for ATLL in HTLV-1 patients with or without strongyloidiasis, and evaluated the influence of Strongyloides stercoralis treatment on the immune response and clinical outcomes of HTLV-1 infection. Results: Levels of TNFα and IFNγ were lower in patients coinfected with HTLV-1 and S. stercoralis than in patients with HTLV-1 only (p < 0.05), and there was an increase in TNFα levels after anthelmintic treatment. Levels of sIL-2R were higher in patients with HTLV-1 coinfected with S. stercoralis and anthelmintic treatment decreased sIL-2R levels (p < 0.05). The one patient who developed ATLL was coinfected with S. stercoralis. Conclusion: These data show that helminthic infection has a modulatory role in HTLV-1 infection and that S. stercoralis may be a cofactor in the development of ATLL.

Original languageEnglish (US)
Article numbertrt052
Pages (from-to)526-529
Number of pages4
JournalTransactions of the Royal Society of Tropical Medicine and Hygiene
Volume107
Issue number8
DOIs
StatePublished - Aug 2013
Externally publishedYes

Bibliographical note

Funding Information:
Funding: This work was supported by the NIH Grants AI-079238, and the Brazilian National Research Council (CNPq); Fundac¸ão de Amparo a Pesquisa do Estado da Bahia. EC is a senior investigator with CNPq.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • ATLL
  • HTLV-1
  • Interleukin-2 receptor
  • Leukemia
  • SIL-2R
  • Strongyloides stercoralis

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